LMSW EXAM - Bootcamp!, LMSW, LMSW 3 Areas to identify in each question (PPL) - 1. Problem 2. Person 3. Last Sentence (guide to answer question) Key words - 1. Person/Client "hot seat" 2. SAFETY Red Flags - suicide, abuse, life-threatening, unexplained marks, alcohol, recent loss 3. Strong words/ ad...
a physician has recommended nursing home placement for a 92 year old patient who is currently in the hospital with leg problems and neu
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LMSW EXAM - Bootcamp!, LMSW, LMSW (Updated
Spring 2022) A+ guide
A physician has recommended nursing home placement for a 92-year-old patient who is
currently in the hospital with leg problems and Neurocognitive issues. The patient's 80-
year-old wife insists that she can continue caring for him at home. As part of the
discharge plan, the hospital SWKR should: a) convince the wife that the physician's
recommendations should be followed b) support the wife in finding a second opinion c)
assist the wife to explore home health care service options d) recommend that he wife
discuss nursing home placement with her children - answer c) assist the wife to
explore home health care service options (RUSAFE outline)
During an assessment with a pregnant, unmarried teenager and her mother, the
teenager states firmly that she wants to keep her baby. The mother asks the SWKR to
explain to the daughter how difficult it will be to care for the baby. The teenager states,
"I don't want to be talked out of keeping my child." The SWKR should FIRST: a) Provide
the teenager with the positives and negatives of caring for a baby b) explore the
mother's feelings about her daughter's pregnancy c) discuss the teenager's feelings
about being forced into a decision d) facilitate communication between the mother and
daughter - answer c) discuss the teenager's feelings about being forced into a decision
(RUSAFE Outline)
A mother seeks help for her child at a local child guidance clinic. She asks SWKR not to
tell her husband about the appointment. The SWKR should FIRST: a) respect the
client's wishes and continue to work with her b) explain to the client that the entire family
should be seen c) explore the husband's feelings about seeking guidance d) explore the
client's reasons for not wanting her husband involved - answer d) explore the client's
reasons for not wanting her husband involved (RUSAFE Outline)
A recently widowed 86 year old man is encouraged by his minister to obtain mental
health services. Since the death of his wife of 50 years, he has not been able to sleep,
has little energy, and often skips meals. The SWKR conducts an interview. The SWKR
should FIRST: a) conduct a mental status examination b) consult with collateral sources
c) acknowledge the client's feelings of loss d) provide information about depression -
answer c) acknowledge the client's feelings of loss (RUSAFE)
A SWKR sees a teenager and her mother because of increased anger, family conflict,
and defiance at home. The parent reveals that the teenager was sexually abused at an
early age, and has never talked about this with anyone. The teenager denies memory of
the abuse. The SWKR should FIRST: a) recommend individual treatment for the
teenager b) normalize the teenager's reactions c) develop a treatment plan for family
therapy d) provide education for anger management skills - answer b) normalize the
teenager's reactions
A SWKR sees a couple after the birth of their first child. They are very stressed by the
demands of parenthood. What should the SWKR do FIRST: a) ask the couple what
family resources are available b) refer the couple to a pediatrician c) determine what is
, LMSW EXAM - Bootcamp!, LMSW, LMSW (Updated
Spring 2022) A+ guide
causing the stress d) refer them to a support group for new parents - answer c)
determine what is causing the stress (RUSAFE)
During an initial session a client becomes progressively more anxious and overwhelmed
while discussing presenting problems. The SWKR should FIRST: a) sensitively direct
the interview toward initiating relaxation techniques b) assist the client in breaking the
concerns down into more manageable parts c) reassure the client of the social worker's
intention to help d) encourage the client to summarize the concerns - answer b) assist
the client in breaking the concerns down into more manageable parts (RUSAFE)
A female client is seen by a SWKR for feeling depressed. She explains that she does
not understand why she feels this way because she has no problems in her life. She
further explains that she has a great job, a nice spouse, and healthy children. The
SKWR should FIRST: a) assess the client's family history of depression b) identify the
specific beliefs fueling the depression c) refer the client for a psychiatric medication
evaluation for antidepressants d) clarify what the client means by depression - answer
d) clarify what the client means by depression (RUSAFE)
A 15 year old Native American/First Nations boy is referred to the school SWKR by his
teacher for "disrespectful behavior." The child had recently transferred to the school,
and the teacher reported that the student did not pay attention and refused to make eye
contact when reprimanded. During the interview, the SWKR notes that the student
keeps his head turned away, avoiding eye contact, but he explains that he was paying
attention in class. The SWKR should FIRST: a) attribute diagnostic significance to the
lack of eye contact b) be aware of the meaning of different communication styles c)
initiate education for the school staff on cultural differences d) assess the significance of
eye contact for the teacher - answer b) be aware of the meaning of different
communication styles (RUSAFE)
A nursing home SWKR has a client who is elderly and mentally alert. The client declines
a medical procedure that most likely will prolong life. An adult child tries to persuade to
SWKR to change the client's mind about the decision. The SWKR should: a) respect the
client's capacity to make the decision b) explain to the client the treatment choice that
has been made c) allow the client's family member to make an appropriate choice d)
challenge the adult child's decision only if it seems to violate ethical principles - answer
a) respect the client's capacity to make the decision (EMPOWER RUSAFE)
A SWKR in private practice is treating a client for over six months. The SWKR notices
that the client is not making any type of progress. The SWKR will BEST serve the client
by: a) seeking consultation from an experienced colleague about the client b) searching
professional literature for discussions of similar cases c) recommending termination d)
continuing the present treatment plan until the client suggests termination - answer a)
seeking consultation from an experienced colleague about the client
, LMSW EXAM - Bootcamp!, LMSW, LMSW (Updated
Spring 2022) A+ guide
Two male clients on a treatment unit have had sex with each other. One of them is
known to the SWKR to be HIV positive. The other client is unaware and is at risk. What
should the SWKR do FIRST in relation to the client at risk: a) suggest that he abstain
from sexual activity b) discuss the risks of sexual activity with him c) confront both
clients while they are together d) direct him to be tested for HIV - answer b) discuss
the risks of sexual activity with him (RUSAFE)
In sessions with a SWKR, a client has established the goals of empowerment. Each
week the client mentions involvement with a homeopathic treatment, from which he
derives benefit. The SWKR's PRIMARY responsibility is to: a) discourage the client of
nontraditional methods b) explain that social work intervention is less effective when
combined with other therapies c) ask the client for permission to contact the
homeopathic therapist for information d) continue working with the client toward the
treatment goals - answer d) continue working with the client toward the treatment goals
(ethics outline)
A client recently diagnosed with terminal cancer discloses this information to a SWKR
and asks that it be kept from the family. What is the social worker's responsibility in this
situation: a) to respect the client's request and continue supportive involvement b) to tell
the client that the social worker is obligated to inform the family c) to convince the client
to make the family aware of the diagnosis d) to confront the client with the
consequences of this decision - answer a) to respect the client's request and continue
supportive involvement
A SWKR seeks consultation on a difficult problem a client is experiencing. The SWKR
feels he needs expert advice on this complex issue. For the initial session the SWKR
should: a) bring the client's entire file for the consultant to review b) answer all questions
as fully as possible that the consultant has regarding the client c) bring tape recordings
of the sessions with the client d) disclose the least amount of information necessary -
answer d) disclose the least amount of information necessary (ethics outline)
A SWKR is assigned a client who is believed to be a victim of domestic violence. The
client does not speak English and is accompanied to the interview by family members.
The SWKR does not speak the client's language, but several non-clinical employees are
fluent in it. The SWKR's most appropriate action is: a) ask a family member to translate
b) ask one of the agency employees to translate c) request the services of a
professional translator d) attempt to conduct the interview without assistance - answer
c) request the services of a professional translator (ethics outline)
A major problem with managed care (HMO) mental health services for chronically ill
patients is that a) HMO's are flexible with the number of sessions b) HMO's can provide
excellent case management, but poor clinical services c) clients needing longer term
supportive services are rarely able to receive them in managed care d) payment for
services is slow and inadequate - answer c) clients needing longer term supportive
services are rarely able to receive them in managed care (HMO insurance outline)
An insurer asks a SWKR to fax a client record to determine payment. The SWKR
should a) comply the insurer's request b) refuse the insurer's request c) mail the record
instead because of confidentiality concerns d) seek the client's written permission
before revealing any confidential information - answer d) seek the client's written
permission before revealing any confidential information
Following a speech on sexual abuse, a SWKR learns that the local newspaper amplified
her qualifications. Due to the article, she received many phone calls asking for her
consultation services. The SWKR should: a) do nothing b) contact the local NASW
ethics board and ask for guidance c) ask the newspaper to publish a correction and
notify callers of the error d) call colleagues and let them know she was not responsible
for the error - answer c) ask the newspaper to publish a correction and notify callers of
the error
A SWKR smells alcohol on a colleague's breath during working hours. the social worker
should FIRST: a) report the colleague to the agency administrator b) speak to a
supervisor c) notify the ethics committee d) discuss the issue with the colleague -
answer d) discuss the issue with the colleague
A social worker faced with a practice situation that may pose an ethical dilemma should
FIRST consult the: a) current supervisor b) social work licensing board c) professional
code of ethics d) most experienced colleague - answer c) professional code of ethics
If the client makes a suicidal reference/has thoughts/ideation ex "I want to end my life"...
- answer assess/clarify the suicidal reference/thoughts/ideation ex: assess for suicide
If the client has had multiple/recent losses ex: loses job, apartment, family member... -
answer assess/clarify for suicide risk ex: assess for suicide/depression
If the client has had increased alcohol/drug intake ex: client drinks more alcohol due to
recent loss... - answer assess/clarify for suicide risk ex: assess for suicide/depression
If the client has homicidal thoughts/ideation ex: "I want to kill my neighbor"... - answer
assess/clarify threat ex: clarify if there is a real intent
do suicidal contracts address the immediate problem? - answer no - these are
DISTRACTORS/Do Later!
If a client has suicidal plan/intent ex: says "I will take all my meds"... - answer 911, ER,
PSYCH ER, Mobile Crisis
If a client has homicidal plan/intent ex: says he will kill neighbor with his gun... - answer
duty to warn (the neighbor)
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